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Original Research

Carbon nanoparticles downregulate expression of basic fibroblast growth factor in the heart during embryogenesis

, , , , , , & show all
Pages 3427-3435 | Published online: 06 Sep 2013

Abstract

Carbon nanoparticles, with their high biocompatibility and low toxicity, have recently been considered for biomedical applications, including antiangiogenic therapy. Critical to normal development and tumor formation, angiogenesis is the process of forming capillary blood vessels from preexisting vessels. In the present study, we evaluated the effects of diamond and graphite nanoparticles on the development of chicken embryos, as well as vascularization of the chorioallantoic membrane and heart at the morphological and molecular level. Nanoparticles did not affect either body/heart weight or serum indices of the embryos’ health. However, vascularization of the heart and the density of branched vessels were significantly reduced after treatment with diamond nanoparticles and, to a lesser extent, graphite nanoparticles. Application of nanoparticles significantly downregulated gene and protein expression of the proangiogenic basic fibroblast growth factor, indicating that both diamond and graphite nanoparticles inhibit angiogenesis.

Introduction

Increasing interest in the application of diamond nanoparticles (ND) also referred to as nanodiamonds in biomedicine continues due to their high biocompatibility and low toxicity.Citation1,Citation2 In vitro investigations have shown that the biocompatibility of ND is significantly higher than other forms of carbon nanoparticles. Moreover, ND do not generate reactive oxygen species and have been shown to be nontoxic in neuroblastoma cells.Citation3 Furthermore, at concentrations ranging from 1–100 μg/mL, ND do not affect protein expression or morphology of epithelial and fibroblast cell lines.Citation4 Additionally, ND do not initiate an inflammatory response from macrophages.Citation5 It has also been suggested that ND accumulate in lung tissue and interact with cell membrane proteins, but their existence inside the cells does not cause pulmonary toxicity.Citation4 In vivo studies did not observe any negative effects in laboratory animals. ND administered to mice over 6 months has not been shown to have any detrimental effects on growth and development, fertility, and immunity, as well as biochemical and morphological parameters of blood.Citation1,Citation6 Another study determined that ND had no effect on the expression of cytokine genes involved in cellular inflammation.Citation2

In HL-60 cells, a human promyelocytic leukemia cell line, it has been demonstrated that ND are biologically active upon administration. Specifically, they can influence expression of genes involved in cellular and genotoxic stress, and activate oxidative stress defense mechanisms.Citation7,Citation8 Furthermore, ND regulate phagocyte activity of neutrophils in the inflammatory site.Citation9 In a previous study by our research group, ND downregulated expression of basic fibroblast growth factor (bFGF) at the messenger ribonucleic acid (mRNA) level in tumor cell cultures of glioblastoma multiforme cultured in ovo, leading to a decrease in both tumor size and mass.Citation10 Similar antiangiogenic activities (ie, decreasing angiogenesis induced by bFGF and vascular endothelial growth factor [VEGF]) were observed after application of graphite nanoparticles (GR), multiwalled carbon nanotubes, and fullerenes.Citation11 The biological activities of GR have not been studied in detail; however, graphite particles of 1 μm diameter have been shown to elicit an inflammatory reaction by murine macrophage cells (J 774 cell line) that was much more intensive than after fullerenes and single wall nanotubes treatment. Moreover, graphite particles led to severe cell damage and death.Citation12 Inflammatory responses were also observed in rats after inhalation of graphite particles.Citation13

Angiogenesis is the process of forming capillary blood vessels from preexisting vessels.Citation14 It is required for embryonic development,Citation15 wound healing, and tissue repair.Citation16 bFGF has the ability to regulate the growth and function of vascular cells, such as endothelial and smooth muscle cells, by stimulating the growth and development of new blood vessels, but it is also a potent angiogenic molecule.Citation17,Citation18 VEGF is an established regulator of angiogenesis, and is more efficient than bFGF for stimulation of endothelial cell differentiation.Citation19 Therefore, the antiangiogenic properties of carbon nanoparticles may be a double-edged sword. In tumor cells, such antiangiogenic properties are beneficial for treatment of disease; in normal cells, however, growth and development of the vascular system may be inadvertently reduced, leading to inefficient supply of nutrients and oxygen to normal tissue, resulting in severe defects and embryolethality.Citation20,Citation21 Furthermore, disruption of angiogenesis has been proposed to be a sensitive method for developmental toxicity evaluation of environmental chemicals acting as putative vascular disruptor compounds.Citation22,Citation23

We hypothesized that both ND and GR may reduce blood vessel formation and affect development of the circulatory system by inhibiting proangiogenic factors. The objective of the present study was to evaluate the effects of ND and GR on growth and development of chicken embryos with particular emphasis on the vascular system and heart vascularization at the morphological and molecular level.

Materials and methods

Nanoparticles

ND (explosion synthesized; specific surface area, ~282 m2/g; purity, >95%) and GR (explosion synthesized; specific surface area, 540–650 m2/g; purity, >93%) were obtained from Sky Spring Nanomaterials Inc (Houston, TX, USA).

The nanoparticles were examined using a JEM-2000EX transmission electron microscope (TEM) at 200 kV (JEOL, Tokyo, Japan). Typical TEM images of nanoparticles are presented in . ND and GR ranged in size from 1–5 nm. Nanoparticles were dispersed by sonification in MilliQ water (EMD Millipore, Billerica, MA, USA) to obtain concentrations of 50, 500, or 5,000 μg/mL. Zeta potential of 50 μg/mL colloids was measured by the laser dynamic scattering-electrophoretic method with Smoluchowski approximation using a Zetasizer Nano ZS, model ZEN3500 (Malvern Instruments, Malvern, UK). Each sample was measured after 120 seconds of stabilization at 25°C. Observed zeta potential for ND and GR was −39.3 mV and 28.7 mV, respectively.

Figure 1 Transmission electron microscopy images of nanoparticles.

Note: Images of ND (A and B) and GR (C and D).

Abbreviations: ND, diamond nanoparticles; GR, graphite nanoparticles.

Figure 1 Transmission electron microscopy images of nanoparticles.Note: Images of ND (A and B) and GR (C and D).Abbreviations: ND, diamond nanoparticles; GR, graphite nanoparticles.

Animal models

Fertilized eggs (n = 120) from Ross Line 308 hens were obtained from a commercial hatchery, stored for 4 days at 12°C, then incubated under standard conditions (37°C, 60% humidity, turned once per hour). Prior to incubation, the eggs were weighed and randomly divided into three groups, each with 40 eggs. Group I was the control group, treated with phosphate buffered saline (PBS). Group II was treated with ND, while group III was treated with GR. Experimental solutions were administered in ovo, at the beginning of incubation, by injection of 0.3 mL PBS containing nanoparticle colloids (50, 500, or 5,000 μg/mL) into the air sack using a sterile 1 mL tuberculin syringe. Hydrocolloids of ND (50, 500, or 5,000 μg/mL) injected into eggs were a source of carbon nanoparticles in a dose of on average 0.3, 3.2 and 31.8 g/kg body weight, respectively. Hydrocolloids of GR (50, 500 or 5,000 μg/mL) were a source of carbon nanoparticles in a dose of average 0.3, 3.3 and 32.8 g/kg body weight. After 19 days of incubation, embryos were sacrificed by decapitation and weighed. The hearts were dissected fixed in liquid nitrogen, and stored at −80°C until further analyses. Blood was taken during decapitation, and serum was collected after centrifugation at 3,000 rpm for 15 minutes.

Angiogenesis assay

For the evaluation of vascular systems growing outside the embryo, eggs were divided into three groups (30 eggs in each), and then injected with various experimental solutions (PBS, ND, and GR). After 11 days of incubation, embryos were very gently held out on the Petri dish, and the vascular system was examined using an Olympus SZX10 stereoscopic microscope with Imaging Software Cell (Olympus Corporation, Tokyo, Japan).

Angiogenesis was evaluated using the chicken embryo chorioallantoic membrane (CAM) vascularization method. Briefly, gelatin sponges (Pfizer, Inc, New York, NY, USA) and Whatman filter paper rings (10 mm diameter) were soaked in PBS, proangiogenic factor-bFGF (positive control), and hydrocolloids of ND or GR. Gelatin sponges or filter papers were implanted on top of the growing CAM on day 8 of incubation.Citation24 After 3 days of incubation, a 1 cm2 window in the shell was created to remove 3 mL of albumin. The window was sealed with sterile aluminum foil, and eggs were incubated for an additional 5 days. On day 8 of incubation, windows were opened and sterile gelatin sponges or filter paper soaked in PBS containing nanoparticle solutions were placed over the developing CAM. Windows were again sealed and embryos were incubated for an additional 3 days. On day 11 of incubation, morphology of blood vessels around the implant was examined using an Olympus SZX10 microscope with Imaging Software Cell. The methodology of quantifying blood vessel development on paper implant was the same as described before.Citation25 Blood vessel length and number of branch points were calculated from seven chicken embryo CAM images from each group. Photos were analyzed with CellSens Dimension Desktop version 1.3 (Olympus Corporation).

Protein expression of bFGF

A heart sample was placed in chilled RIPA (Radio-Immunoprecipitation Assay) buffer (150 mM sodium chloride, 0.5% sodium deoxycholate, 1% NP-40, 0.1% sodium dodecyl sulfate [SDS], 50 mM tris(hydroxymethyl)aminomethane pH 7.4) with protease inhibitors (Sigma-Aldrich, St Louis, MO, USA) in an ice bath then homogenized using a Polytron PT-MR 2100 (Kinematica AG, Lucerne, Switzerland). The homogenate was centrifuged, and the supernatant was collected in chilled microtubes. Protein concentration was measured using a Total Protein Kit (Micro Lowry, Peterson’s Modification, Sigma-Aldrich). bFGF protein level was measured using an enzyme-linked immunosorbent assay (ELISA) kit for gallinaceous bFGF (Uscn Life Science Inc., Houston, TX, USA) according to manufacturer’s instructions. Absorbance at 450 nm was measured in an Infinite M200 microplate reader (Tecan Group AG, Männedorf, Germany).

mRNA expression of bFGF and VEGF

Ribonucleic acid (RNA) was purified using the SV Total RNA Isolation System (Promega Corporation, Fitchburg, WI, USA) and quantified using a NanoDrop spectrophotometer (Thermo Fisher Scientific, Waltham, MA, USA). It was transcribed into complementary deoxyribonucleic acid (cDNA) using both random hexamer priming and oligo (dT), and the products of these reactions were mixed. The polymerase chain reaction (PCR) primer oligonucleotides () were designed from chicken mRNA sequences for VEGF and bFGF, and the PCR conditions were optimized on chicken heart cDNA samples. The primers amplified the expected band on the cDNA samples from control chicken. Quantification of cDNA was subsequently performed by real-time PCR using SYBR Green I detection and the LightCycler System (F Hoffmann-La Roche Ltd, Basel, Switzerland). For each sample, 200 ng of a cDNA template was added to 12.5 μL of QuantiTect SYBR Green Master IX (Qiagen, Hilden, Germany), 0.15 μL of both forward and reverse primers (final concentration of 0.6 μM each), and RNA-free water to a final volume of 20 μL. An initial denaturing step at 95°C for 15 minutes was followed by 40 cycles with a denaturing step at 94°C (15 seconds), an annealing step at 56°C (30 seconds), and an elongation step at 72°C (60 seconds). The cycling reports and melting curves were evaluated as part of the analysis. All reactions were performed in triplicate. For all analyses, quantification was made relative to expression of actin beta (ACTB) and elongation factor 1 alpha 2 (EEF1A2) housekeeping genes.

Table 1 Oligonucleotide sequences used in real-time PCR

Biochemical analysis

Alanine transaminase (ALT) and asparagine transaminase (AST) activity were measured in blood serum collected from embryos using dry chemistry methods that required use of a chemical analyzer (Vitros DT 60 II) and slide kits from Johnson and Johnson (New Brunswick, NJ, USA). Total antioxidant status (TAS) was measured in serum using a Randox Laboratories Ltd kit (London, UK).

Statistical analysis

Data analyses were conducted in SASCitation26 (SAS Institute Inc, Cary, NC, USA) using a general linear model procedure. Differences between groups were tested by least square means. Statistical significance was defined as P < 0.05.

Results

CAM angiogenesis

Development of blood vessels after treatments with ND and GR was initially evaluated on chicken embryo CAM after 11 days of incubation. In all groups, blood vessel networks were properly organized with a characteristic branched pattern (). However, density of vessels, especially small capillary vessels, growing on CAM was slightly reduced in treatment groups compared to the control embryos. To verify these observations, the experiment with implantation of gel sponge soaked with PBS, ND, GR, and proangiogenic factor (bFGF) was carried out. Evaluation of neovascularization of implants showed that the density of vessels branching, growing under the gel implant, was significantly reduced after ND treatment and, to a lesser extent, GR treatment compared to PBS and bFGF implants (). A characteristic “spoked-wheel” pattern was seen only around bFGF-soaked implants. Experiments with filter paper implants soaked with ND or GR showed similar results (). Length of vessels treated with ND was decreased by 45% and for GR by 15% (mean length of blood vessels on 6.25 mm2: control 9516 μm; ND 6123 μm; GR 8095 μm). The number of vessel branch points decreased after treatment with ND and GR by 35% and 14%, respectively (mean number of branch points on 6.25 mm2: control 11.0; ND 9.6; GR 7.2). Moreover, the implants were poorly furnished with CAM mesenchymal cells, and some of the discs soaked with ND did not adhere to CAM and were not covered by cells. Furthermore, vessels infiltrating filter discs were absent or rarely seen. This observation was confirmed also on CAM vessels after injection of nanoparticles into the air sack (). Nanoparticles that agglomerated were attached to the CAM blood vessels, suggesting that some of the nanoparticles reached the blood-circulating system.

Figure 2 CAM vascularization.

Notes: Filter paper implants: (A) control group; (B) ND-treated group; and (C) GR-treated group. Gelatin sponges: (D) control group; (E) positive control with bFGF; (F) diamond nanoparticles-treated group; and (G) GR-treated group. Representative vessels of control CAM (A) and after the administration of (B) ND and (C) GR.

Abbreviations: CAM, chorioallantoic membrane; ND, diamond nanoparticles; GR, graphite nanoparticles; bFGF, basic fibroblast growth factor.

Figure 2 CAM vascularization.Notes: Filter paper implants: (A) control group; (B) ND-treated group; and (C) GR-treated group. Gelatin sponges: (D) control group; (E) positive control with bFGF; (F) diamond nanoparticles-treated group; and (G) GR-treated group. Representative vessels of control CAM (A) and after the administration of (B) ND and (C) GR.Abbreviations: CAM, chorioallantoic membrane; ND, diamond nanoparticles; GR, graphite nanoparticles; bFGF, basic fibroblast growth factor.

Figure 3 Visualization of CAM vascularization in 11-day-old chicken embryo.

Notes: Experimental solutions were administered in ovo by injection of 0.3 mL PBS containing hydrocolloids of ND or GR (5,000 μg/mL) into the air sack. (A) Control CAM and CAM after the administration of (B) ND or (C) GR. Agglomerates of ND located around vessels (D).

Abbreviations: CAM, chorioallantoic membrane; PBS, phosphate buffered saline; ND, diamond nanoparticles; GR, graphite nanoparticles.

Figure 3 Visualization of CAM vascularization in 11-day-old chicken embryo.Notes: Experimental solutions were administered in ovo by injection of 0.3 mL PBS containing hydrocolloids of ND or GR (5,000 μg/mL) into the air sack. (A) Control CAM and CAM after the administration of (B) ND or (C) GR. Agglomerates of ND located around vessels (D).Abbreviations: CAM, chorioallantoic membrane; PBS, phosphate buffered saline; ND, diamond nanoparticles; GR, graphite nanoparticles.

Body weight and health indices

Chicken embryo development was evaluated on day 19 of incubation. ND and GR at 50, 500 μg/mL (data not shown) or 5,000 μg/mL () were not harmful to embryos, and there were no differences in body and heart weights between the groups. Macroscopic morphological abnormalities were not seen.

Table 2 Body weight, heart weight, and biochemical parameters of chicken embryos

The activities of plasma serum ALT and AST were not affected by nanoparticles. Similarly, the TAS was not different between groups ().

Heart examination

Vascularization of the heart () in the ND and GR groups was less developed than in the control group. Injection of ND or GR at concentrations of 50 and 500 μg/mL did not influence bFGF and VEGF gene expression in the heart (). However, 5,000 μg/mL ND or GR significantly decreased expression of bFGF, but not VEGF, at the mRNA level. The results measured with the reference gene ACTB were validated with the reference gene EEF1A2 and were in agreement with the concentrations of the bFGF protein ().

Table 3 Gene expression of bFGF and VEGF measured in heart tissue

Figure 4 Images of chicken embryo heart.

Notes: Experimental solutions were administered in ovo by injection of 0.3 mL PBS containing 5,000 μg/mL hydrocolloids of nanoparticles into the air sack. (A) Control heart and after the administration of (B) ND or (C) GR.

Abbreviations: CAM, chorioallantoic membrane; PBS, phosphate buffered saline; ND, diamond nanoparticles; GR, graphite nanoparticles.

Figure 4 Images of chicken embryo heart.Notes: Experimental solutions were administered in ovo by injection of 0.3 mL PBS containing 5,000 μg/mL hydrocolloids of nanoparticles into the air sack. (A) Control heart and after the administration of (B) ND or (C) GR.Abbreviations: CAM, chorioallantoic membrane; PBS, phosphate buffered saline; ND, diamond nanoparticles; GR, graphite nanoparticles.

Discussion

A chicken embryo possesses several experimental advantages as a biological model. Avian embryos develop outside mother organisms, and therefore exclude direct effects of the mother. Embryo development in the egg is sterile and immunologically inert.Citation27 Furthermore, development of part of the vascular system outside of the embryo’s body allows for easier evaluation. Moreover, embryo growth is very fast. Cell proliferation and differentiation are extremely fast, and molecular reactions are prompt and potent; consequently, the responses to toxic factors are fast and very sensitive. Hence, this model is often used to investigate angiogenesisCitation25,Citation27,Citation28 and evaluate toxicity of drugs and other supplements in humans.Citation29,Citation30

Evaluation of chicken embryo morphology indicated that neither ND nor GR were harmful to embryos. The activities of ALT and AST markers of hepatic and muscle (including heart muscle) cell membrane integrity were also not changed. An increased activity of these enzymes in blood may be an indication that cytoplasm is leaking from cells, which may be a symptom of toxicity due to ND or GR. For instance, elevated levels of ALT were observed after treating zebrafish with copper nanoparticles at 1.5 μg/mL,Citation31 mice with titanium dioxide and zinc nanoparticles (5 g/kg body weight),Citation32 gold nanoshells (57 μg/mL).Citation33 In the present investigation, the highest concentration (5,000 μg/mL) of ND and GR injected into eggs were a source of carbon nanoparticles in a dose of on average 31.8 g/kg body weight for ND and 32.8 g/kg for GR, which were relatively high doses. Oxidative stress is an important pathway of toxicity of nanomaterials and elevation of TAS would indicate that tested nanoparticles trigger a defense mechanism against free radicals. In the present investigation, the antioxidant status measured in serum did not differ after treatments with ND or GR, suggesting that oxygen availability in the environment of the vascular endothelial cells was adequate and that hypoxia did not occur after administration of the carbon nanoparticles. Observed results confirm the suspected high biocompatibility of carbon nanoparticles, especially ND.Citation1

A previous study by Marcon et alCitation34 showed that 2–200 μg/mL ND (with –OH groups on the surface) injected into Xenopus embryos had no significant impact on embryo survival. However, the frequency of abnormally developed embryos increased, indicating mutagenic effects of ND. Contrary to Xenopus embryos, growth and development of chicken embryos in the present work were not affected by ND or GR (). Similarly, a different carbon nanomaterial (single wall nanotubes) did not show toxic side effects when used as a carrier of antiangiogenic drug thalidomide in the zebrafish embryos.Citation35 Since ND was previously shown to decrease angiogenesis in glioblastoma multiforme cell cultures in ovo,Citation10 we focused our investigation on the growth and development of the vascular system in embryos. Vascular development has been used for embryonic development toxicity evaluation for drugs and chemicals using high-throughput screening.Citation22,Citation23 In the present experiment, density of vessels and branching were reduced in treatment groups compared to control embryos. Implants soaked with ND were poorly furnished with CAM mesenchymal cells, which suggests that ND inhibited growth of epithelial, endothelial, and fibroblast cells, as well as their precursors, consequently leading to inhibition of blood vessel growth. ND inhibited vasculogenesis and/or angiogenesis, whereas GR had a tendency to reduce vessel growth.

Nanoparticles that agglomerated after injection into the chicken embryo air sac were attached to the CAM blood vessels. This suggests that part of the nanoparticles reached the blood-circulating system and were transported within the organism. In vivo experiments have previously shown that ND intravenously injected into mice were retained in the liver, spleen, and lungs,Citation36 and that they accumulated in human lung cells.Citation4 In the current study, the heart was the focus of investigation since it appears very early in chicken embryogenesis and is in permanent contact with blood. Examination of the heart () showed that vascularization in the ND and GR groups was less developed than in the control group. In light of this observation, we presumed that ND were able to downregulate genes responsible for migration of chorioallantoic cells, as well as differentiation and maturation, allowing mesenchymal cells to invade and initiate angiogenesis. Chorionic and other epithelial cells highly express bFGF protein, especially during the early stages of embryogenesis,Citation37 and also stimulate endothelial cells to form new vessels. Additionally, endogenous chicken bFGF, expressed by endothelial cells, may play a significant role in CAM vascularization by potentially stimulating proliferation of endothelial cells to promote migration, redistribution, and invasiveness.Citation38 This may indicate that ND and, to a lesser degree GR, downregulate bFGF gene expression and in this way impair the environment for vessel development. VEGF is another key signaling factor that promotes angiogenesis and vasculogenesis. ND or GR at concentrations of 5,000 μg/mL decreased expression of bFGF at both the mRNA and protein level in the heart. This observation is consistent with the results from experiments with mice, which showed that the other form of carbon (endohedral fullerenes with encapsulated gadolinium) downregulates the expression of genes encoding the fibroblast growth factor family (FGF1, FGF3, and FGF6).Citation39 Furthermore, a decrease in bFGF expression after treatment with carbon nanotubes, fullerenes, or graphite has been reported in previous studies.Citation11 Observed results are also consistent with our previous study that showed that ND and GR cause a reduction in the concentration of bFGF in glioblastoma cultures in ovo.Citation10 The FGF protein is a potent angiogenic factor. It also has a pleiotropic effect on cellular development and differentiation, including neuronal differentiation, smooth muscle cell proliferation, myogenesis, stimulation of hematopoiesis, stem cell survival, and antiapoptotic effects.Citation17 Experiments carried out in vivo have shown the key role of bFGF in embryogenesis, especially in mesoderm induction.Citation40 The heart is the first embryonic organ to develop, arising from the splanchnic mesoderm. The endocardium and myocardium are created from delaminated epithelia. Additionally, de novo construction of blood vessels begins from splanchnic mesoderm cells, which after transformation become hemangioblasts – the precursors of blood vessels.Citation41 bFGF promotes proliferation and maintenance of hematopoietic progenitors and stem cells.Citation42 Thus, from the very early stages of embryogenesis, bFGF controls processes of blood system initiation, growth, and development.

ND and GR did not influence VEGF mRNA expression. VEGF is a multifunctional heparin-binding glycoprotein that primarily promotes the growth of vascular endothelial cells derived from arteries, veins, and the lymphatic system. This key prosurvival factor for endothelial cells acts via antiapoptotic pathways and is controlled by the autocrine or paracrine release of several major growth factors, depending on the oxygen status of the microenvironment and local hypoxia.Citation43,Citation44 However, embryo heart muscle may not be suitable tissue for VEGF measurements, and expression of this factor should be examined in vessels.Citation45

Although ND and GR had no significant adverse effects on body weight and biochemical health indices of chicken embryos, results from the current study suggest that downregulation of bFGF by ND and GR may be a consequence of changes in mesoderm proliferation and inhibition of angioblast induction. Downregulation of bFGF can be beneficial in angiogenesis-dependent diseases and antitumor therapies, especially in case of anti-VEGF therapy resistance, characteristic for many tumor types.Citation46 However, the disruption of angiogenesis by antiangiogenic tumor drugs may induce cardiac dysfunctionCitation47 and other severe side effects.Citation48 Consequently, the antiangiogenic effects observed in the present CAM implantation experiments, as well as reduction of heart muscle vascularization, shall be considered prior to any therapeutic application of these nanoparticles; however, this has to be based on a follow-up, and more detailed research of other animal models.

Conclusion

Nanoparticles did not affect body weight and serum health indices of embryos. However, vascularization of the heart and the density of branched vessels were significantly reduced. Furthermore, high doses of ND and GR led to significant downregulation of bFGF expression in the heart, indicating that both ND and GR inhibit angiogenesis.

Acknowledgments

This work was supported by the Polish National Research Council grants: NCN 2011/03/N/NZ9/04290, NCN NN311540840, NCN 2011/03/B/NZ9/03387; and Danish Agency for Science Technology and Innovation grant: 2106-08-0025. The manuscript is a part of the doctoral thesis of Mateusz Wierzbicki.

Disclosure

The authors report no conflicts of interest in this work.

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